Hair growth on face, chest



Irregular menstrual cycles

Male pattern baldness

and more …..


These issues can be difficult to manage.  Many women with PCOS tell me that they eat correctly and work out but always struggle with weight.  Women also have shared with me the devastation they feel when they try to have a child and yet struggle with infertility because of PCOS. Given that PCOS affects so many areas of a woman’s life, it can often have an effect on women’s self- esteem.  So what should women know about dealing with PCOS?

First, you are not alone.

There are many women just like you who have struggled and are struggling with this daily.  Find people with whom you can talk about your struggles.  An example of this kind of help could be a support group or friends and family who are willing to hear you.

Talk to a dietitian, a trainer, and your doctor about ways to manage your PCOS through diet, exercise, and possibly medication.  It is important that at this stage you focus on “non-weight-scale” goals like how you are feeling, your energy, and how your clothing fits.  Focusing on the weight on the scale can be very difficult and discouraging . . . a number is not the all-inclusive way to tell if we are healthy!

For unwanted facial hair, getting waxed can be an option; a birth control pill can manage the testosterone hormone (something that women with PCOS have too much of).  Again, talking to your gynecologist or endocrinologist can help you decide which form of treatment is right for you.

Infertility can also be so devastating.

Fortunately, there are many treatments to help women ovulate and thus help them in their ability to get pregnant.  However, it is really easy when dealing with infertility to focus on the goal (to get pregnant) and to ignore the joy of intimacy and sex.  Oftentimes, couples struggle to work through these issues and often feel like it is just a task instead of being fun.  If you find yourself in this place, please know that you and a million other couples who struggle with infertility feel the same way!

Talking to a sex therapist can help rekindle the joy of making a baby so that the focus is not simply on the outcome!


kim castelo  by Kimberly Castelo, MS, LMFT.  You can learn more about Kim’s practice at

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